Client Intake | MJFC Client Portal

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- Cita
+1 555-555-5556

English (US) Español (AR)
Inicia sesión
Contáctanos

New Client Account Application

Complete this application to request an account with Mary Jane’s Friends & Co. Please provide accurate company, billing, service-location, and crew-requirement information. Submission does not guarantee service availability or approval.

1. Business Information

Legal Business Name *

DBA / Operating Name (if different)

Primary Contact Name *

Primary Contact Email *

Primary Contact Phone *

Currently Using a Third-Party Service Company?

Yes

No

Additional Company Notes

2. Billing Information

Is your billing and service address the same?

Yes, the billing address is the same as the primary service location.

Billing Street Address

Billing Address Line 2

Billing City

Billing State

Billing ZIP Code

3. Primary Service Location

Location / Facility Name *

Service Street Address *

Service Address Line 2

Service City *

Service State *

Service ZIP Code *

Primary Location License Type *

Primary Location License Number *

4. Location Contact

Custom Text

Location Contact Same as Primary Contact

Location Contact Name

Location Contact Email

Location Contact Phone

Other License Type

Service Management Type *

Full-Service Crew — MJFC Team Lead Included

Self-Managed Crew — Client Provides On-Site Lead

Select all services that apply.

Trimming/Manicuring

Bucking

Defoliation

Harvests

Reset/Flip

Packaging

Other Service

Other Service Description

Trimming Crew Requested

Bucking Crew Requested

Defoliation Crew Requested

Harvest Crew Requested

Reset/Flip Crew Requested

Packaging Crew Requested

Other Service Crew Requested

Service Frequency *

One Time

Scheduled Weekly

Scheduled Biweekly

Desired Start Date *

Location-Specific Instructions

How Did You Hear About Us?

Existing Client or Industry Referral

Google or Other Search Engine

Industry Event or Association

Social Media

Other

Other Referral Source

Authorized Representative Name *

Information Accuracy Confirmed *

Service Terms Acknowledged *

Submit Account Application

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Sobre nosotros

Somos un equipo de personas apasionadas cuyo objetivo es mejorar la vida de todos a través de productos revolucionarios. Creamos productos para resolver sus problemas empresariales.

Estos productos están diseñados para pequeñas y medianas empresas dispuestas a optimizar su rendimiento.

Contáctenos

Contáctanos
info@tuempresa.ejemplo.com
+1 555-555-5556

Síganos

English (US) | Español (AR)

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